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Medical Billing/AR Specialist - (English/Spanish)
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Job Description
- Req#: 744000096830784
Employer Industry: Digital Transformation Services
Why consider this job opportunity:
- Opportunity for career advancement and growth within a recognized digital transformation company
- Bilingual candidates in English/Spanish are highly valued
- Work from home with equipment provided by the employer
- Supportive and collaborative work environment
- Engage with a variety of tasks in the revenue cycle process, enhancing your skills in billing and collections
What to Expect (Job Responsibilities):
- Conduct collection activities on appealed claims by contacting government agencies and third-party payers via phone, email, or online
- Provide ongoing appropriate collection actions on appeals and request additional information as needed
- Communicate with insurance plans and research health plans for benefits and types of coverage
- Review contracts to identify billing or coding issues and request re-bills or corrected bills
- Handle other duties as assigned by the employer
What is Required (Qualifications):
- Thorough understanding of the revenue cycle process, including patient access and Patient Financial Services procedures
- Full understanding of Managed Care collections and familiarity with related terms such as MMC, HMO, PPO, IPA, and Capitation
- Knowledge of Managed Care contracts, contract language, and federal and state requirements
- Intermediate understanding of hospital billing form requirements (UB04) and HCFA 1500
- Medical claims and/or hospital collections experience with a minimum high school education or relevant technical training
How to Stand Out (Preferred Qualifications):
- Additional experience in medical claims processing or patient financial services
- Familiarity with specific healthcare billing software or systems
- Strong analytical skills with attention to detail
- Previous experience working remotely in a similar role
#DigitalTransformation #Billing #Collections #RemoteWork #CareerGrowth
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